Lectures

Manipulation of IVF outcome reporting to SART: The status of public reporting of clinical outcomes in assisted reproductive technology [Fertil Steril 2013;100(3):736-741]

Lecture Type: Webcasts

Manipulation of IVF outcome reporting to SART: The status of public reporting of clinical outcomes in assisted reproductive technology [Fertil Steril 2013;100(3):736-741]

Vitaly A Kushnir, MD

Born in the former Soviet Union, Dr. Kushnir emigrated as a child to the U.S., where the family settled in Salt Lake City, Utah. After college he pursued medical school at the New York Program of Sackler School of Medicine at Tel-Aviv University in Israel. After graduation, he returned to the U.S. for a residency in the Department of Obstetrics, Gynecology and Women's Health at UMDNJ – New Jersey Medical School, where he was a recipient of Resident Research Award. After a 3-year fellowship in Reproductive Endocrinology and Infertility at Emory University in Atlanta, GA, Dr. Kushnir joined CHR in July 2012. As Director of Continuing Medical Education, Dr. Kushnir leads CHR's visiting scholar program. Dr. Kushnir is an active member of the American Society of Reproductive Medicine, Society for Gynecologic Investigation and American College of Obstetrics and Gynecology, where he served as Junior Fellow Chair in its New Jersey Section between 2006 and 2008. Dr. Kushnir has been a recipient of numerous research awards, including the Excellence in Research by a Fellow, awarded by Emory University in 2012 for his research in the role of mitochondria in female reproductive aging. Dr. Kushnir has published numerous peer-reviewed articles and abstracts, with a keen focus on ovarian physiology and aging. In addition to presenting at multiple professional society meetings, Dr. Kushnir has also authored many book chapters on topics in obstetrics and gynecology, as well as reproductive endocrinology and infertility. Dr. Kushnir speaks Russian.

Context

The U.S. government requires all IVF centers to report their IVF cycle outcomes to Centers for Disease Control and Prevention (CDC). A majority of IVF centers also report this data to the Society for Assisted Reproductive Technologies (SART). Despite CDC and SART’s warning that published IVF pregnancy rates cannot be a reliable basis for identifying a successful IVF center for a given patient due to patient selection bias, the data published by CDC and SART have become a default tool to do just that for many patients. A recent publication in Fertility & Sterility uncovered a disturbing trend against this backdrop: a small minority of IVF centers (13 out of 341 centers analyzed) exclude a disproportionately large number of IVF cycle outcomes from reporting, artificially inflating their IVF pregnancy rates. By the year 2010, these 13 IVF centers accounted for more than 50% of all IVF cycles excluded from SART/CDC reporting, and partially as a result, these centers’ U.S. market share has expanded by nearly 20% between 2005 and 2010. This live webcast, presented by Vitaly A Kushnir, MD, the lead author of the study, will provide an overview of the CDC/SART outcome reporting system, discuss the findings of the study, and give patients points to consider when choosing an IVF center that best suits their needs.

VIDEO: Manipulation of IVF outcome reporting to SART: The status of public reporting of clinical outcomes in assisted reproductive technology [Fertil Steril 2013;100(3):736-741]


Recorded on: Tuesday, July 16, 2013

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